Organization
CAPITOL UNITED SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURZHAN SAIDAKHMETOV (OWNER)
(304) 410-9442
Entity
Organization
Contact information
Practice address
415 QUARRIER ST, SUITE 213, CHARLESTON, WV 25301-2009
(304) 410-9442
Mailing address
415 QUARRIER ST, SUITE 213, CHARLESTON, WV 25301-2009
(304) 410-9442
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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